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JANUft2016����® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> - - -ENVIRONMENTAL HEALTH DEPARTMENT - - - <br /> JAN Z 7 2� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ep.hone:_(209)-46.8_3420�ax:_(20-9)364_OJ-3B- 1-eb:-v y—sigov_or-gLehd <br /> • ENVIR°NME rALHEALTHPUBLIC RECORDS RELEASE APPLICATION <br /> PERMITISERViCES <br /> APPLICANT: Ryan Sommers BUSINESSIAGENCY:AEI Consultants <br /> ADDRESS: 3880 South Bascom Avenue CITYISTATEIZIP: San Jose, CA <br /> PHONE (1): (408)559-7600 PHONE (2):(408) 528-5744 FACSIMILE: (408) 559-7601 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Ryan Sommers DATE January 27 2016 <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 672 West 11th Street Tracy, CA fVl't= <br /> 2. 1129 West 111h Street Tracy, CA ion Re it-y-0I!� Unit 2 <br /> 3. n 1 811j- t <br /> 4. � tdt.� (.�• ®'Unit3 ..�,y� <br /> 5. <br /> 7'lb LyNnit4 <br /> t,890. <br /> 1/Unit 5 <br /> im./(1'�t 'H <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY'*' <br /> !L7 ,jjQq LopA( k„& 1ZQF4',:NL✓J r (111 II <br /> LO Records provided by Staff-PPR Complete. staff Name: <br /> 4128114 <br /> EHD 4fi•fifi <br />